Individual provider Active NPI

Steven Earnest Rahman, MD

  • Pediatrics Physician
  • Wellington, FL
National Provider Identifier
1710083811
Registry record updated Mar 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
ME83769 Issued in FL
Practice address
10131 Forest Hill Blvd Ste 140
Wellington, FL 33414-6155
Phone
(561) 798-5437
Fax
(561) 798-7726
NPI assigned
Sep 15, 2006
Last updated
Mar 5, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 5, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X ME83769 FL Primary
Pediatric Adolescent Medicine Physician 2080A0000X ME83769 FL

Addresses

Primary practice location

10131 Forest Hill Blvd Ste 140
Wellington, FL 33414-6155

Mailing address

8487 SE Merritt Way
Jupiter, FL 33458-1003
Phone (561) 310-2330

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201029000194 FL Practitioner - Pediatric MedicinePractitioner - Family PracticePractitioner - General Practice 7012327224 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pediatric MedicineAlso: Family Practice, General Practice
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

604 N US Hwy 1
Suite a
Fort Pierce, FL 34950-3055
Phone (772) 207-7534

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME83769FLMDPediatric Adolescent Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Regenerative Medical Group Florida CurrentSince Oct 20, 2020 Accepting new patients
Soma Medical Center, P. a #4 Pediatrics Past Accepting new patients

Locations

2624 S US Highway 1
Fort Pierce, FL 34982
Phone (772) 207-7534

604 N US Highway 1
Ste A
Fort Pierce, FL 34950
Phone (772) 207-7534

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/AWCHU1

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741132800000",
    "number": "1710083811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8487 SE MERRITT WAY",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334581003",
            "telephone_number": "561-310-2330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10131 FOREST HILL BLVD STE 140",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "334146155",
            "telephone_number": "561-798-5437",
            "fax_number": "561-798-7726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAHMAN",
        "first_name": "STEVEN",
        "middle_name": "EARNEST",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-15",
        "last_updated": "2025-03-05",
        "certification_date": "2025-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME83769",
            "primary": true
        },
        {
            "code": "2080A0000X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "FL",
            "license": "ME83769",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wellington, FL

Sources for this page

Verify at the official NPI Registry.